1 Client Name Contact details Date of birth Gender Living situation Family situation: married/kids Work 2 Presenting condition Record it in client’s & your words History of each condition Nature of each symptom/sign Intensity, frequency What did the doctor say? What was the diagnosis? Any test results? What is the current program/medication/therapy? 3 Lifestyle Rest Relationship Exercise Work - hours, timing, nature Nutrition, diet General routine Habits 4 History 1) of illness 2) other illnesses Conditions -diagnosed and undiagnosed Seasonal imbalances, action taken Periodical imbalances, action taken Other imbalances, action taken Hospitalization, medications, therapies with causes and effects 5 Responses and reactions Ayurveda Elements 17 Orchard Rd Chatswood NSW 2067 0061 2 9904 7754 What helps/aggravates? When is it better/worse? Which season is better/worse? What food makes it better/worse? What time of the day is the best/worst? 6 Analysis 05 Agni Tri-guna Dosha Bhuta 7 Guna Dhatu Mala Srotas Tongue Pulse/Urine Dasha-vidha Samprapti 7 Advice Health routine, seasonal routine, nutrition, diet and exercise. ………items to include and ………items to exclude ………practise to include ………practice to avoid

TONGUES IS YOUR TONGUE TRYING TO TELL YOU SOMETHING? HEAR ITS HEALTH MESSAGE BY LOOKING IN THE MIRROR. BY CAROLINE ROBERTSON ND Sarah stuck out her tongue. “Mmm,” Ayurvedic doctor Rama Prasad responded, “There’s stiffness in the right hip, bloat, lower back pain, cold feet and depression.” Sarah’s jaw dropped wider. Without saying a word, Rama had read her state with astonishing accuracy. “The tongue doesn’t lie,” explains Rama, who has been examining tongues for decades, finding they clearly convey one’s health and habits. Sarah was sceptical at first, knowing nothing about Ayurvedic Medicine, but she adhered to Rama’s advise after his observations. “Following the dietary, lifestyle and herbal advice for a fortnight my symptoms improved and I also noticed changes on my tongue,” Sarah says. When an orthodox doctor probes the tongue they’re looking for obvious problems with the Ayurveda Elements 17 Orchard Rd Chatswood NSW 2067 0061 2 9904 7754 mouth or tonsils. But when you stick your tongue out at a Chinese or Ayurvedic doctor you show a lot more than simply the state of your throat. “Your tongue speaks volumes about your mind-body state,” Dr. Prasad explains, “It’s a holographic map of every aspect of you. Once you learn to identify the markers its very easy to read.” Chinese doctor Charles Chow agrees, “A tongue reading is much simpler than pulse diagnosis. The patient can also see where the problem is and monitor changes themselves.” It’s widely acknowledged that tongue diagnosis is more objective that pulse diagnosis and, though pulse diagnosis take decades to master, 05 basic Tongue diagnosis can be taught in a weekend. 13 Setting tongues wagging Tongue analysis is an ancient diagnostic skill recorded in traditional health sciences worldwide. In Ayurveda it’s known as Jihvaa Pareeksha, in Japanese - Zetsu Shin and Chinese call it She Zhen. The tongue’s colours, contours and coating all reflect our general health and specific problem areas. In conjunction with conventional diagnostic tests, tongue analysis can give us a clear picture of the condition of organs and systems, often revealing the cause of a condition presenting as a confusing collection of symptoms. Bian Que (471-221BC), one of the pioneers of Chinese tongue diagnosis said he could see the patient’s insides from the tongue, identifying past and present patterns as well as predicting future conditions.

Chris, a chronic fatigue patient of Dr. Rama Prasad found tongue diagnosis directed his recovery route. “Before Rama identified my spleen weakness I was trying everything without much improvement. I’m 80% better now that I know the allergens to avoid and ways to strengthen the spleen.” Modern medical science is now taking notice of tongue signs. After a landmark study in China revealing significant tongue changes in 12,000 cancer patients , US researchers led by Dr. Robert Schoen, director of Gastrointestinal Cancer Prevention at the University of Pittsburgh Cancer Institute, is recording computerised images of patient’s tongues to note any correlation between cancer and tongue signs. Dr Schoen explains the rationale behind this, “The tongue is one of the first parts of the gastro-intestinal tract that’s visible.” The tongue is also known as the “sprout of the heart” as it is directly connected to the cardio- vascular system. Hence, eighteenth Century doctors would routinely inspect the tongue in fever patients to monitor how the heart was holding up. According to ancient Indian and Chinese medicine all the body’s meridians connect to the tongue just as they connect to the feet, hands and ears. Because of its proximity, digestive disorders are particularly obvious from tongue analysis. The tongue clearly indicates the body’s internal digestive enzymes, assimilation, inflammation, stagnation and hydration. The “shag pile carpet” adorning the tongue after fasting is digestive toxins exiting the body. “Periodic purification, a pure diet and daily use of a tongue scraper helps to clear digestive toxins accumulated on the tongue,” suggests Dr. Rama Prasad. Keeping it clean “While thou livest keep a good tongue in thy head,” advised William Shakespeare. Nobody wants a furry tongue and bad breath. Removing the superficial layer of plaque and bacteria settled on the tongue reduces the risk of bad breath, tooth decay, gum disease, throat infections and heart disease according to modern research. It won’t, however, alter the appearance of deep pathological tongue signs. Ayurveda Elements 17 Orchard Rd Chatswood NSW 2067 0061 2 9904 7754 Ancient Egyptians, Romans and Indians all practiced regular tongue scraping to remove toxins and prevent disease. Using a tongue scraper has been shown to be more effective than a toothbrush or mouthwash and it doesn’t make one gag or dry the mouth as alcoholic mouth rinses can. Research shows that up to 75% of vsc’s are removed by a tongue scraper whereas only 45% reduction is achieved by brushing the tongue with a tooth brush . Previously halitosis was attributed more to tooth decay or stomach problems but current studies show 05 that up to 86% of all bad breath is caused by harmful tongue bacteria that isn’t removed by 14 brushing, flossing, or gargling alone. This foul smelling odor is produced by toxic volatile sulphur compounds (vsc’s) which the Journal of the American Dental Association (Sept., 2000) advises one removes with a tongue scraper. A healthy tongue Before assessing your tongue it helps to know what a healthy tongue looks like. Likened to a little kitten’s tongue, it is uniformly pink, similar to a skinned chicken. It is oval in shape, neither too thick nor too thin and has an even width. When sticking out it’s naturally straight rather than veering to one side. The tongue of a healthy person will remain still and strong, not quivering, flaccid or stiff. A healthy tongue has a thin transparent or white coating. It

displays all taste buds and is free from red or glassy patches, deep cuts and denuded patches. It is neither too dry nor too wet and it doesn’t emit a bad odour or taste. The veins on the underside of the tongue will not be distended. If your tongue looks like a map of the world don’t worry. Dr. Prasad explains its significance, “Some people have genetic geographic tongues which indicate certain hereditary signs that are not necessarily negative.” Just say aahh… The traditional Tibetan greeting of sticking your tongue out evolved because they understood how to analyse a person through their tongue. They also kept their tongue firmly in cheek to hide their deeper secrets! Decipher your tongue talk by analysing its alignment, colour, surface and shape. Remember that coffee, tea, drugs, cigarettes or food colour can affect the colour of the tongue. It’s best to look at the tongue in natural light or halogen lighting and in the morning before eating or drinking. Incandescent light makes the fur look yellowish and fluorescent light makes the tongue look bluish or purple when it’s not. Poke your tongue out in a relaxed rather than a forceful way so you don’t distort its shape. Pop your tongue back in every ten seconds to stop it from dehydrating or changing colour. Decipher your tongue’s messages by correlating signs with the tongue map. Tongue signs Alignment Veers to one side when Tension on that side of the body or weakness on the other side sticking out Colour Pale Anaemia, low blood pressure, coldness or poor circulation and general depletion Ayurveda Elements 17 Orchard Rd Chatswood NSW 2067 0061 2 9904 7754 Yellow Excess bile in liver or gall bladder Blue Heart problems or blood stagnation (also present in healthy pregnant women) Very red Inflammation, acidity, heat or high blood pressure Surface 05 16 Thick white coating Toxins in the respective organs/systems, which may include Candida albicans and mucus. Thick yellow coating: Chronic heat, congested liver or gall bladder. This may also be related to food colourings, drugs or smoking Cracks Connective tissue in this area is weak and undernourished and hence tight Red patches Inflammation or acidity in this area Denuded patches Depleted energy in this area Raised areas Vascular congestion in this area causing probable pain

Let the client expose the tongue for … seconds. Get them to do it ………… times. Observe from the ………………… to the ………. Observe the appearing and disappearing features. While you record it don’t think or analyse. What if the client exposes their tongue for more than 30 seconds? Ayurveda Elements 17 Orchard Rd Chatswood NSW 2067 0061 2 9904 7754 05 18

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